Comparison of Therapy in Treatment of Patients With Helicobacter Pylori Infection: Concomitant Versus Hybrid Therapy.

NCT ID: NCT03572777

Last Updated: 2021-01-26

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

Get a concise snapshot of the trial, including recruitment status, study phase, enrollment targets, and key timeline milestones.

Recruitment Status

COMPLETED

Clinical Phase

NA

Total Enrollment

159 participants

Study Classification

INTERVENTIONAL

Study Start Date

2018-04-15

Study Completion Date

2019-10-15

Brief Summary

Review the sponsor-provided synopsis that highlights what the study is about and why it is being conducted.

The aim of the study is to compare the effectiveness of two therapeutic protocols in the treatment of Helicobacter pylori infection.

The hypothesis of our research is that the two therapeutic options (hybrid and concomitant therapy) will be equally successful in the treatment of Helicobacter pylori infection. In other words, in both therapeutic groups we expect successful treatment of Helicobacter pylori infection in or more than 90 % of patients.

In other studies, both therapeutic options have the same efficacy in treating H. pylori infection. On the other had there are no studies available in Croatia to compare the effectiveness of these therapeutic options so far, which is the main objective of our research. The secondary goals of our study will be: the existence of differences in the occurrence of possible side effects, as well as the compliance between patients in both therapeutic options. It is also our aim to compare the quality of life of patients with Helicobacter pylori infection before and after treatment, via a questionnaire that is common for this purpose.

The study is expected to include a total of 120 patients (60 patients in each therapy group), and the planned duration is 12 months.

Detailed Description

Dive into the extended narrative that explains the scientific background, objectives, and procedures in greater depth.

Conditions

See the medical conditions and disease areas that this research is targeting or investigating.

Helicobacter Pylori Infection

Study Design

Understand how the trial is structured, including allocation methods, masking strategies, primary purpose, and other design elements.

Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

Review each arm or cohort in the study, along with the interventions and objectives associated with them.

Concomitant therapy

Amoxicillin ('Amoksicilin') 1 g bid, metronidazole ('Medazol')500 mg bid, clarithromycin ('Makcin')500 mg bid and esomeprazole ('Emanera')40 mg bid for 14 days.

Group Type ACTIVE_COMPARATOR

Concomitant therapy

Intervention Type DRUG

Amoxicillin ('Amoksicilin') 1 g bid 14 days.

Concomitant therapy

Intervention Type DRUG

Clarithromycin ('Makcin') 500 mg bid for 14 days

Concomitant therapy

Intervention Type DRUG

Metronidazole ('Medazol') 500 mg bid for 14 days

Concomitant therapy

Intervention Type DRUG

Esomeprazole ('Emanera') 40 mg bid for 14 days

Hybrid therapy

Amoxicillin ('Amoksicilin') 1 g bid and esomeprazole ('Emanera') 40 mg bid for 14 days, with metronidazole ('Medazol')500 bid and clarithromycin ('Makcin') 500 mg bid for the last 7 days.

Group Type ACTIVE_COMPARATOR

Hybrid therapy

Intervention Type DRUG

Amoxicillin ('Amoksicilin') 1 g bid 14 days

Hybrid therapy

Intervention Type DRUG

Esomeprazole ('Emanera') 40 mg bid for 14 days

Hybrid therapy

Intervention Type DRUG

Clarithromycin ('Makcin') 500 mg bid for the last 7 days

Hybrid therapy

Intervention Type DRUG

Metronidazole ('Medazol') 500 mg bid for the last 7 days

Interventions

Learn about the drugs, procedures, or behavioral strategies being tested and how they are applied within this trial.

Concomitant therapy

Amoxicillin ('Amoksicilin') 1 g bid 14 days.

Intervention Type DRUG

Concomitant therapy

Clarithromycin ('Makcin') 500 mg bid for 14 days

Intervention Type DRUG

Concomitant therapy

Metronidazole ('Medazol') 500 mg bid for 14 days

Intervention Type DRUG

Concomitant therapy

Esomeprazole ('Emanera') 40 mg bid for 14 days

Intervention Type DRUG

Hybrid therapy

Amoxicillin ('Amoksicilin') 1 g bid 14 days

Intervention Type DRUG

Hybrid therapy

Esomeprazole ('Emanera') 40 mg bid for 14 days

Intervention Type DRUG

Hybrid therapy

Clarithromycin ('Makcin') 500 mg bid for the last 7 days

Intervention Type DRUG

Hybrid therapy

Metronidazole ('Medazol') 500 mg bid for the last 7 days

Intervention Type DRUG

Eligibility Criteria

Check the participation requirements, including inclusion and exclusion rules, age limits, and whether healthy volunteers are accepted.

Inclusion Criteria

* Helicobacter pylori infection (documented by: positive antigen stool test, or positive urease rapid test obtained during upper endoscopy, or Helicobacter pylori in histological finding, or positive C-urea breath test; according to recent Maastricht V guidelines;
* written informed consent

Exclusion Criteria

* age under 18
* previously treatment of Helicobacter pylori infection
* malignancy of stomach or other site
* history of taking proton pump inhibitors, H2 antagonist, bismuth or antibiotics (amoxicillin, metronidazole, clarithromycin) in previous month
* significant underlying disease (renal failure, psychiatric disorders)
* history of allergic reactions to any medications used in study
* refuse to participate in study
* breastfeeding and pregnancy
* quitting the study
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

Meet the organizations funding or collaborating on the study and learn about their roles.

University Hospital of Split

OTHER

Sponsor Role collaborator

University of Split, School of Medicine

OTHER

Sponsor Role collaborator

Antonio Mestrovic

OTHER

Sponsor Role lead

Responsible Party

Identify the individual or organization who holds primary responsibility for the study information submitted to regulators.

Antonio Mestrovic

Sponsor-Investigator

Responsibility Role SPONSOR_INVESTIGATOR

Principal Investigators

Learn about the lead researchers overseeing the trial and their institutional affiliations.

Antonio Meštrović, MD

Role: PRINCIPAL_INVESTIGATOR

University Hospital Centre Split, Croatia

Locations

Explore where the study is taking place and check the recruitment status at each participating site.

University Hospital Centre Split

Split, , Croatia

Site Status

Countries

Review the countries where the study has at least one active or historical site.

Croatia

References

Explore related publications, articles, or registry entries linked to this study.

Mestrovic A, Perkovic N, Bozic J, Pavicic Ivelja M, Vukovic J, Kardum G, Puljiz Z, Tonkic A. Randomised clinical trial comparing concomitant and hybrid therapy for eradication of Helicobacter pylori infection. PLoS One. 2020 Dec 30;15(12):e0244500. doi: 10.1371/journal.pone.0244500. eCollection 2020.

Reference Type DERIVED
PMID: 33378403 (View on PubMed)

Other Identifiers

Review additional registry numbers or institutional identifiers associated with this trial.

003-08/18-03/0001

Identifier Type: -

Identifier Source: org_study_id

More Related Trials

Additional clinical trials that may be relevant based on similarity analysis.